Medicine
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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
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Item A Study on victims of intimate partner violence reported to Colombo North Teaching Hospital, Sri Lanka during 2019-2021(Academic Forensic Pathology International, La Jolla, CA, 2022) Muthulingam, T.; Edirisinghe, P.A.S.; Wijewardhane, H.P.; Thivaharan, Y.; Jayasundara, M.M.S.; Borukgama, N.; Kulathunga, D.L.; Alwis, D.N.; Govinnage, P.S.; Kitulwatte, I.D.G.Introduction: Intimate partner violence (IPV) is a common issue in any society and the reported cases are just the tip of an iceberg as most of the victims are reluctant to come to the criminal justice system. Forensic experts are often encountering the victims who chose to seek justice. Evaluation of the nature, consequences, and underlying factors are needed in planning preventive measures. Objectives: To describe the patterns and associated factors of IPV among victims who reported to Office of the Judicial Medical Officer of Colombo North Teaching Hospital and to specifically describe the patterns prior and during the COVID-19 pandemic. Methods: A retrospective descriptive study based on 471 medicolegal records of the victims who had undergone medicolegal examination following IPV during last two years (March 2019 to February 2021). Results: Out of 471, 206 cases were reported prepandemic and 265 reported postpandemic periods. Even though majority were females there were 21 males. Types of abuse were complex and often interrelated. There were 463 who had experienced physical injuries while there were 20 who had been subjected to sexual violence. Face was the commonest target of assault (63%). Substance abuse was identified as the commonest predisposing factor (56%). Even though repeated abuse was common, 42.5% of the victims had never made any complaints to the police. Despite multiple complains, 39.7% had experienced repeated violence. Conclusion: Victims of IPV are silently suffering for many long years. Failure in the response from authorities was identified. COVID-19 pandemic has become an additional risk factor for IPV. Strengthening of legal and social responses is the need of the hour.Item Forensic pathology of explosive Injury(CRC Press, 2011) Kitulwatte, I.D.G.; Pollanen, M.S.Item Medical ethics applied in forensic research: a revisit to ethical guidelines(College of Forensic Pathologists of Sri Lanka, 2015) Perera, W.N.S.; Paranitharan, P.The knowledge on recent advances in research ethics is mandatory for the forensic community comprising mainly forensic pathologists, forensic scientists and members from the legal fraternity who support the smooth functioning of the medico-legal system. A revisit to the recent developments in medical ethics and understanding the implications towards forensic research would keep Sri Lanka in equal platform with other countries. The main objective of this paper is to revisit the recent developments in medical ethics and to understand the ethical principles applied in forensic research. The review article briefly explores the ethical aspects of research involving clinical patients, research involving dead bodies and skeletons, laboratory investigations in research and publications of research findings. The existing ethical norms in research practice had evolved over a long period of times. The sound knowledge of the internationally accepted ethical principles would make sure forensic researches are developed according to the accepted standards and be more scientifically valid.